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Individual

DR. REBECCA JEAN RANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
819 WORCESTER ST, SUITE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 346-4060
Mailing address
819 WORCESTER ST, SUITE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 346-4060

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2260990
MA

Other

Enumeration date
10/05/2015
Last updated
10/05/2015
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